Billing
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.
First Coast supports Part B billing awareness during the month of June
Don’t miss this month's Medicare Navigator sessions. Build confidence in navigating Medicare and submitting accurate claims. This month's Medicare Navigator workshop features Part B billing -- check…
Skilled nursing facility (SNF) demand bill
Read this article to learn more about skilled nursing facility (SNF) demand billing.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…
End stage renal disease (ESRD): Payment for phosphate binders effective January 1
Phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn more.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The ASC device codes list has been updated.
Colorectal cancer (CRC) screening
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. Learn more about these lifesaving preventive…
COVID-19 vaccine and monoclonal antibody billing for Part A providers
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and…
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.